Soo Woong Kang MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

00A66630 Issued in CA

Legal business name

SOO WOONG KANG MD INC

Practice address

11832 Rosecrans Ave
127
Norwalk, CA 90650-4107

Phone

(562) 868-6256

NPI assigned

May 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Soo Woong Kang, M.D.NPI 1164577706

Title

Director

Phone

(562) 868-6256

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Soo Woong Kang

  • Internal Medicine Physician
  • Buena Park, CA
  • NPI 1164577706
  Medicare reassignment Authorized official
• Sunyoung Christy Lee, NP

  • Primary Care Nurse Practitioner
  • La Habra, CA
  • NPI 1790462166
  Medicare reassignment NPD
• Jieun Sim

  • Family Nurse Practitioner
  • Buena Park, CA
  • NPI 1932601952
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1689880593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11832 ROSECRANS AVE",
            "address_2": "127",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504107",
            "telephone_number": "562-868-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11832 ROSECRANS AVE",
            "address_2": "127",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504107",
            "telephone_number": "562-868-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOO WOONG KANG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "SOO",
        "authorized_official_middle_name": "WOONG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "562-868-6256",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "00A66630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A666300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tylour Beret Smith
• Sohail Hakimi DDS Dental Group
• Fe Silan Solmayor, M.D
• Brianna Hyewon Song
• Veronica Lizett Soni
• George Mane Soohoo, DDS
• Sandi Soto
• Southern California Health Care
• Southern California Imagin Center
• Southern California Imaging Center, LLC

• Internal Medicine Physician in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.